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Chapter 4 AAPC CIC Exam Study Guide Solutions CMS - ANSWER-Centers for Medicare and Medicaid Services CoP - ANSWER-Conditions of Participation CfC - ANSWER-Conditions for Coverage (CMS) JC - ANSWER-The Joint Commission PII - ANSWER-Personally Identifiable Information. Information about indivi...

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  • November 10, 2024
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  • 2024/2025
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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED




Chapter 4 AAPC CIC Exam Study Guide

Solutions


CMS - ANSWER✔✔-Centers for Medicare and Medicaid Services


CoP - ANSWER✔✔-Conditions of Participation


CfC - ANSWER✔✔-Conditions for Coverage (CMS)


JC - ANSWER✔✔-The Joint Commission


PII - ANSWER✔✔-Personally Identifiable Information. Information about individuals that can be used to

trace a person's identity, such as a full name, birthdate, biometric data, and identifying numbers such as

a Social Security number (SSN). Organizations have an obligation to protect PII and often identify

procedures for handling and retaining PII in data policies.


Data - ANSWER✔✔-objective observations or measurements


demographic data - ANSWER✔✔-Patient's full name, address, phone number, ethnicity, marital status,

date of birth, place of birth, Social Security, and name and contact information of the patient's next of

kin serve to confirm the patient's identity and are used by hospitals for research and resource planning


UHDDS - ANSWER✔✔-Uniform Hospital Discharge Data Set-- 1974 standard for collecting data for

Medicare/Medicaid programs


MDS - ANSWER✔✔-minimum data set (long-term care)


SNF - ANSWER✔✔-skilled nursing facility (pronounced "sniff")

Copyright ©Stuvia International BV 2010-2024 Page 1/5

, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED


PPS - ANSWER✔✔-Prospective Payment System


data mining - ANSWER✔✔-process to identify trends and patterns in a database. Useful for detecting

fraud and abuse and identifying effective treatments and inefficiencies.


Face Sheet - ANSWER✔✔-also known as the admission form, admitting sheet, data form, or patient

information form; a common document in medical facilities that contains demographic information on

the patient.


H&P - ANSWER✔✔-history and physical


progress notes - ANSWER✔✔-Notes used in the patient chart to track the progress and condition of the

patient. Including procedures.


Consultations - ANSWER✔✔-A professional caregiver (Specialists) giving formal advice to another

caregiver


Radiology Reports & Operative Reports are documentation entries that will require a coder to code from

____________________. - ANSWER✔✔-ICD- 10 PCS


Documentation is the recording of pertinent facts and observations about an individual's health history,

including past and present illnesses, tests, treatments and outcomes. The medical record chronologically

documents patient care to: - ANSWER✔✔-1. Enable the physician and other healthcare professionals to

plan and evaluate the patient's immediate treatment and to monitor their healthcare.


2. Enhance communication and promote continuity of care.


3. Facilitate claims review and payments.


4. Assist in utilization review and quality of care evaluations.



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